Organization
MCGREW ORTHOPEDIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MCGREW (OWNER)
(304) 345-0431
Entity
Organization
Contact information
Practice address
1301 WASHINGTON STREET W, CHARLESTON, WV 25302-1909
(304) 345-0430
(304) 345-0432
Mailing address
1301 WASHINGTON STREET W, CHARLESTON, WV 25302-1909
(304) 345-0430
(304) 345-0432
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
09/10/2012
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